2020 REHBERLERİNE GÖRE GEBEDE KARDİYOVASKÜLER YAŞAM DESTEĞİ

Yıl 2020, Cilt: 1 Sayı: 3, 136 - 144, 31.12.2020

Doğaç Niyazi Özüçelik

Öz

Kardiyopulmoner resusitasyon uygulamalarında standart oluşturmak, uygulama farklılıklarını engellemek, kanıta dayalı tıp temelli uygulamaları sağlamak amacıyla farklı alanlardaki dernekler ve eğitim kuruluşlarının bir araya gelerek başlattıkları yeni resusitasyon rehberleri her beş yılda bir (2000, 2005, 2010 ve 2015 yıllarında) yenilerek yayınlanır. Bu derleme makalesi 2020 yılı ekim ayında yayınlanan yeni rehberlerde önerilen gebede kardiyovasküler yaşam desteğindeki değişiklikleri özetlemek amacıyla hazırlanmıştır.

Anahtar Kelimeler

2020;, CPR;, kardiyovasküler yaşam desteği, Gebelik

CARDIOVASCULAR LIFE SUPPORT IN PREGNANCY ACCORDING TO THE 2020 GUIDES

Öz

New resuscitation guidelines initiated by associations and educational institutions in different fields in order to set standards in cardiopulmonary resuscitation practices, prevent application differences, and provide evidence-based medicine-based practices are renewed and published every five years (in 2000, 2005, 2010 and 2015). This review article has been prepared to summarize the changes in cardiovascular life support in pregnant women recommended in the new guidelines published in October 2020.

Anahtar Kelimeler

2020;, CPR;, Pregnancy;

Kaynakça

• 1. Highlights of the 2020 American Heart Association (AHA) Guidelines for CPR and ECC.https://cpr.heart.org/-/media/cpr-files/cpr-guidelines-files/highlights/hghlghts_2020_ecc_guidelines_english.pdf. Erişim: 01.11.2020
• 2. Merchant RM, et al. Part 1: Executive Summary: 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2020 Oct 20;142(16_suppl_2):S337-S357.
• 3. Panchal AR, et al. Part 3: Adult Basic and Advanced Life Support: 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2020 Oct 20;142(16_suppl_2):S366-S468.
• 4. Topjian AA, et al. Part 4: Pediatric Basic and Advanced Life Support: 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2020 Oct 20;142(16_suppl_2):S469-S523.
• 5. Aziz K, et al. Part 5: Neonatal Resuscitation: 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2020 Oct 20;142(16_suppl_2):S524-S550.
• 6. Mhyre JM, Tsen LC, Einav S, Kuklina EV, Leffert LR, Bateman BT. Cardiac arrest during hospitalization for delivery in the United States, 1998-2011. Anesthesiology. 2014;120:810–818.
• 7. Beckett VA, Knight M, Sharpe P. The CAPS Study: incidence, management and outcomes of cardiac arrest in pregnancy in the UK: a prospective, descriptive study. BJOG. 2017;124:1374–1381.
• 8. Schaap TP, Overtoom E, van den Akker T, Zwart JJ, van Roosmalen J, Bloemenkamp KWM. Maternal cardiac arrest in the Netherlands: A nationwide surveillance study. Eur J Obstet Gynecol Reprod Biol. 2019;237:145– 150.
• 9. Goodwin AP, Pearce AJ. The human wedge. A manoeuvre to relieve aortocaval compression during resuscitation in late pregnancy. Anaesthesia. 1992;47:433–434.
• 10. Jeejeebhoy FM, et al. Cardiac Arrest in Pregnancy: A Scientific Statement From the American Heart Association. Circulation. 2015;132:1747–1773.
• 11. Dijkman A, Huisman CM, Smit M, Schutte JM, Zwart JJ, van Roosmalen JJ, Oepkes D. Cardiac arrest in pregnancy: increasing use of perimortem caesarean section due to emergency skills training? BJOG. 2010;117:282– 287.
• 12. Page-Rodriguez A, Gonzalez-Sanchez JA. Perimortem cesarean section of twin pregnancy: case report and review of the literature. Acad Emerg Med. 1999;6:1072–1074.
• 13. Cardosi RJ, Porter KB. Cesarean delivery of twins during maternal cardiopulmonary arrest. Obstet Gynecol.1998;92(4 Pt 2):695–697.